COPD control: Can a consensus be found?

M Guimaraes, António Bugalho, A S Oliveira, J Moita, A Marques, G I DPOC-Grp Interesse Doenca Pilmo

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

There are currently no reliable instruments for assessing the onset and progression of chronic obstructive pulmonary disease (COPD) or predicting its prognosis. Currently, a comprehensive assessment of COPD including several objective and subjective parameters is recommended. However, the lack of biomarkers precludes a correct assessment of COPD severity, which consequently hampers adequate therapeutic approaches and COPD control. In the absence of a definition of ``well-controlled disease'', a consensus regarding COPD control will be difficult to reach. However, COPD patient assessment should be multidimensional, and anchored in five points: control of symptoms, decline of pulmonary function, levels of physical activity, exacerbations, and Quality of Life. Several non-pharmacological and pharmacological measures are currently available to achieve disease control. Smoking cessation, vaccination, exercise training programs and pulmonary rehabilitation are recognized as important non-pharmacological measures but bron-chodilators are the pivotal therapy in the control of COPD. This paper discusses several objective and subjective parameters that may bridge the gap between disease assessment and disease control. The authors conclude that, at present, it is not possible to reach a consensus regarding COPD control, essentially due to the lack of objective instruments to measure it. Some recommendations are set forth, but true COPD control awaits further objective assessments. (C) 2016 Published by Elsevier Espana, S.L.U. on behalf of Sociedade Portuguesa de Pneumologia.
Original languageEnglish
Pages (from-to)167-176
Number of pages10
JournalRevista Portuguesa de Pneumologia
Volume22
Issue number3
DOIs
Publication statusPublished - May 2016

Keywords

  • COPD assessment
  • Control
  • Symptoms control
  • Spirometry
  • COPD
  • Treatment
  • Respiratory System

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